Ascites and incomplete small bowel obstruction
Known metastatic ovarian cancer. Rule out small bowel obstruction.
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Compared with the previous study (not included), there is diffuse intraperitoneal increased density indicating ascites in this patient with known peritoneal carcinomatosis secondary to ovarian cancer.
There are also air-fluid levels and a dilated small bowel up to 40 mm, strongly suggestive of small bowel obstruction.
Finally, there are bilateral pleural effusions with a chest tube on the right.